Table of Contents
International Scholarly Research Notices
Volume 2015, Article ID 745409, 6 pages
Clinical Study

Manual Medium Incision Cataract Surgery with Descemet’s Stripping Endothelial Keratoplasty: A Novel Triple Procedure

1Department of Ophthalmology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong
2Alice Ho Miu Ling Nethersole Hospital, Tai Po, New Territories, Hong Kong

Received 16 August 2014; Revised 27 November 2014; Accepted 26 December 2014

Academic Editor: Gerald W. Zaidman

Copyright © 2015 Alvin L. Young et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To describe the surgical technique and outcomes of combined Descemet’s stripping endothelial keratoplasty and medium incision manual cataract surgery (MICS) in Chinese eyes. Methods. Surgery was performed in 8 eyes of 7 patients (5 females, 2 males). Primary outcomes included success of the surgery and final outcomes. Results. Surgery was performed in patients with Fuchs’ endothelial dystrophy and cataract (mean age years). MICS tunnel was used to insert the donor lenticule into the anterior chamber. All surgeries were performed successfully. Graft dislocation was seen in 1 eye requiring repositioning with intracameral sulfur hexafluoride gas on the first postoperative day. Graft rejection was noted in one patient at the end of one year. The mean decimal best-corrected visual acuity improved from to . Suboptimal visual acuity in 2 cases was due to radiotherapy-related optic neuropathy and myopic maculopathy . The mean target spherical refraction was diopters (myopic) and the mean achieved spherical refraction was 1.18 ± 0.87 diopters (hyperopic) resulting in a mean hyperopic shift of 2.2 diopters. Conclusions. The approach of combined Descemet’s stripping endothelial keratoplasty and MICS is a viable surgical technique for cases with endothelial dysfunction and cataract.